| NPI | 1306279955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 326285) |
| 207R00000X Internal Medicine (Licence: AL 39401) | |
| 207R00000X Internal Medicine (Licence: GA 081484) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: LA 326285) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2022-03-16 |